Something that I didn't mention much in my first installment of this series is how deeply I actually feel emotions most of the time now. I don't know if I can explain it more than that, and it's only some emotions, but it's very much more pronounced than it ever was before.
For example, as a compare and contrast -- when I found out about my former coworker's death last week, I wasn't incredibly upset. I wasn't anything more than mildly surprised, really. The void comes for us all, and all of that...and sometimes it comes for us in grisly, nasty ways. That's life, that's death, it happens.
Yet, upon watching Jay and Silent Bob Reboot, which I preordered the Blu-ray of, I cried at least three times. Ugly crying, too, with snot and blurred vision and the need to pause the movie. And I was crying at scenes that weren't supposed to be tug-at-your-heartstrings sad or depressing, yet there I was.
I cried at those scenes too, mind you, but you get my point.
I cried twice when Daisy and I went to see Little Women in the theater last weekend, and was so moved by it that I immediately bought the book off Amazon and began reading it.
Sometimes I cry in frustration. I used to cry in anger, a lot, but for some reason that switch turned off and now I just get very quiet (or, at times, very loud).
I am full of wishes. I am full of things I would like to do, successes I'd like to achieve, places I'd like to go, material things I'd like to own.
I want a Tesla. Have any of you ever been to a Tesla dealership to look at the showroom cars? They look magical. They look like the future. Hell, the Model X (the SUV) has gullwing back doors like a DeLorean.
I want a DeLorean too, but I'll never have one of those either. Plus, I hate driving stick shift, and most of the surviving ones are stick.
I mean, I can do it, but I haven't done it in literally twenty years and was never a fan of it when I did do it -- Driver's Ed in high school, by the way. The car was a 1986 baby-shit-brown Cavalier. Not sure I'd even really remember how now, as it was so long ago.
As the weather is slowly getting better in the slow march towards Spring, I've been itching to get behind the wheel of a vehicle again, something I can call mine. Daisy's car is fine, and it's reliable, but I really don't like driving it that much and I am somewhat paranoid when I do -- if I get into an accident, we would then have zero vehicles. When I had the Monte Carlo I would drive it anywhere, anytime, in any weather. Not only did I have to, but I was incredibly comfortable doing so as I knew that car was like an extension of myself. I like Daisy's car, but it's not the same -- and it's not mine.
But, we don't have the money. Our jobs pay the bills and the mortgage and get us food and necessities, and there's not a lot left afterward for a lot of extras. Occasionally the wife or I will get some new clothing, or I'll use some of my (little) disposable income to replace an old or dying vape mod or subscribe to a few more comic books to add to my reading list -- but there's not enough extra, so to speak, to afford a car payment every month.
I have been following the Democratic primaries closely, because I believe that the only way that a lot of things in our lives will get better is if we get our current president the fuck out of office (and possibly into a prison cell, whatever works). Anyone who knows me well knows already that I am and have been a Bernie Sanders supporter for many years, and it looks like this time around he might actually have a shot at the nomination. Nebraska's primary happens late in the season, on May 12 (just two months before the DNC picks the nominee in July).
The wife and I have had serious discussions about relocating to Canada if Trump is re-elected.
This is not a joke; Daisy has dual citizenship, which means it is much easier for us to emigrate to Canada (and for me to be able to get in there as a permanent resident, as her husband) if we have to. I-29 straight up into Manitoba, folks. Eight hours, 570 miles.
I have serious doubts my psyche could withstand another four years of Trump. What I've seen already sickens and depresses me (along with my job as the first cause, I'd say the Trump presidency is the secondary-and-almost-as-major cause of my depression). I never thought I'd live in a country run this badly, where the rule of law no longer really exists, where it feels more and more every day like we're sinking into a dictatorship.
And to think, I used to think George W. Bush was the worst president we could've ever had. Boy, was I wrong. I almost feel as if I should write the man a letter of apology for all the nasty shit I said about him in the early 2000s. I was young and naive, and didn't think things would ever get this bad.
But that's just it -- I feel deeply, and when I am saddened or disgusted or ashamed, I feel those things deeply as well, and begin to spiral downward into those feelings.
I talked about a little of this at my doctor's visit this week.
No, not a therapist, though that may still eventually be in the cards -- my actual doctor. Daisy and I had our routine checkups/physicals this week (another reason why I took Wednesday off -- I needed a bit of time to prepare emotionally for that as well).
Let me expand on this a bit -- the wife and I do yearly physical checkups once a year with our doctor. We book them together and we go through them together, the doc sees both of us in the same room at the same time, and we just, well, knock 'em out, so to speak. Both of us have several relatively minor health issues that require these visits, but we do them to make sure nothing major is going wrong -- if that makes any sense.
"Are you still doing your testosterone therapy?" our doctor asked me.
"I am," I replied.
"And how are you feeling?"
"I mean, mostly okay, I guess."
"Mood swings, depression, shifts in demeanor?"
"Yes," I answered truthfully. "A lot, actually. I've been depressed quite a bit as of late, anxious, lack of any real energy or motivation, etc."
"But," I quickly added, "nothing debilitating or life threatening. Just very stressed and struggling. I think part of it is my job, and I think part of it is the actual hormones."
"It's probably all of that," she replied. "Do you ever feel hopeless, like each day is worse than the last, like it will never get better and you won't be able to face the next day?"
"No," I said. Which is, mostly, true. "It's not terrible, but it's not fun."
"Do you have sleep loss or insomnia -- or do you feel that you sleep too much? Lack of appetite, any sleep apnea symptoms/snoring? Any family history of sleep apnea?"
"No," I said. Again, mostly true. "Not that I know of, anyway. I do snore sometimes, [Daisy] has said that I do, but that's about it."
"He does not snore constantly," Daisy said. "Most of the time he sleeps very quietly."
"And it doesn't sound like he's stopping breathing or anything when he does snore?"
"No," Daisy replied.
"Yeah, then my guess is that most of it is caused by your job, buddy," the doctor said, with a slight smirk.
As an aside, as part of the exam, as soon as I mentioned the word "depression" I had to fill out a questionnaire -- consisting mostly of the questions my doctor asked me anyway. I did answer it truthfully. I'm not a threat of harm to myself or others, nor does it feel crushing (at least not on an emotional level, anyway) to get up out of bed every day and face the world. I do have sleeping and energy problems, and it feels like I can never get enough quality rest or have enough energy to do what I want or need to do (that's literally the point of this series of posts), but, I mean, I work overnights, I'm on testosterone replacement therapy, and I'm in my late thirties now. So it's a toss up.
"So, since we're talking about it anyway," the doctor continued, "let's discuss the testosterone treatment. I believe that your base levels when you started were something like 140?"
"That sounds accurate," I said.
As a visual aid, I'm going to provide this helpful chart that I found on Google:
So, as you can see, if this is accurate, when I began treatment I had the testosterone levels of an 80-year-old man. Or older. This explains a lot.
I was 34 when I began the treatment in 2017.
In the almost three years of treatment I have still never breached 200. After my first year they doubled my dose, which is what I'm currently on now and have been since early 2019 -- my blood work results will tell me (soon) where I'm at currently. But I'm getting ahead of myself.
"And you said you're noticing some mood and emotional effects of the treatment? Yeah, that's fairly normal. We actually have you on a very low dose of the gels, considerably lower than what you'd be on if you were to go to one of those NuMale clinic places -- they shoot their patients up to like 900, 1000."
"What's the point of that?" I asked.
She shrugged. "Well, let me tell you...it changes who you are, changes everything about you."
"So I'm just going to come out and say this," I said, "because it's a concern I've had for the past few months and I want to know if it's possible that it's happening or if I'm just imagining it, but...it feels and looks as if my penis and testicles are shrinking."
"Penis, no," the doctor said, unfazed. "Testicles, maybe. That can happen on testosterone therapy."
I briefly fought the urge to be like you haven't seen my dick, look at it, LOOK AT ITTTTT.
Obviously I decided against this course of action, but even in serious situations I still have a sense of humor, of course.
Some of you are probably wondering why I'm talking about this stuff so candidly here in my blog. Truthfully, I'm not ashamed of any of it -- it is what it is, and it's something I'll talk openly about with anyone who asks about it or asks for advice on whether they should seek said therapy. Life throws us curveballs sometimes, ahem, pardon the pun.
"Stay on the therapy," the doctor continued. "What it is doing is supplementing your body's natural testosterone, and supplanting it as necessary. Your body won't produce as much of it when you're on the therapy. If it comes to a time where you need to get off of it, we'd wean you off over a two month cycle -- just don't stop using the gel all at once or anything, because that will seriously mess up your hormones and mental state."
Great.
"So my other question is that if I did want to get off it, eventually, what would that entail?"
She repeated her statement about being weaned off of it slowly. I don't think she understood what was implied by that question, which was: if I want to get off of it, what will get my testosterone back to normal levels without me needing to be on it for the rest of my fucking life?
"That gel is a pain in the ass," I stated bluntly. "I guess I'd like to know what my options are if my blood results aren't that different this time around either."
"We'll see when it comes to that," the doctor replied.
As another short aside, in the car later I told the wife "and her answer had better not be something like 'rub in four packets of the gel every day instead of two' or I legit might scream. It is 2020, you can't legit tell me there's not a fucking pill I could take every day instead."
"I wouldn't want to take a pill every day," she replied.
Anyway. Back to the story.
"There is something else I wanted to pick your brain on," I said. "Every once in a while -- not all the time, not even most of the time, but once every, oh, 4-5 months or so...I will see blood in my urine or in my feces. Medically speaking, um, how 'normal' is this?"
This is true. There are times where I shit a not-insignificant amount of blood. It's not from coloring in food, and if it's from a hemorrhoid, it's not one I can feel -- but the toilet will be full of red. It'll happen for 2-4 bowel movements and then go away. Same goes for my pee as well -- every once in a while my urine will be tinged with blood, making it look an orangey-red and that is goddamn troubling. That actually happened last week or the week before, making me paranoid that I had a UTI or something along those lines.
"It's fairly common," the doctor responded. "If it's a lot of blood, or it's dark red or brown looking then that could be a problem, but if it's bright red in your stool it's generally a hemorrhoid or something like that, and isn't a huge cause for concern. As for your urine it's probably not coming from the bladder or from the kidneys but from the sperm, blood in that isn't incredibly uncommon either."
None of this really eased my anxiety.
"If you think you could pee for me, though, we can do a urinalysis today just to check for any irregularities. You wanna do that?"
"Sure," I said.
So I went into the bathroom and peed in a cup, as if I were doing a drug screening. Thankfully I don't have anything to hide there.
The rest of the doctor's visit was relatively routine. I asked for an MMR booster, as I haven't had one since I was like, 12 -- and was told that they don't generally give them out unless the patient was in imminent danger of becoming infected....so I didn't get one of those. My request for a tetanus booster was granted, though, as I haven't had one of those since the mid-to-late 2000s. I got my flu shot back in December, so I didn't have to worry about that, and they (mostly) painlessly took a big vial of my blood for normal standard blood work.
I have perfect 120/80 blood pressure (lower than the wife's, actually). I believe last year I was 118/78 or something like that -- I haven't had higher blood pressures since I became vegetarian/mostly plant-based in my diet.
As for the rest of my blood test results, well, those remain to be seen. I believe (before seeing those results, of course) that I will be healthier than I was last year, as I have made a very strong effort to eat more cleanly and have still kept the weight off I kept off before, but we shall see.
On the way home, I mentioned to Daisy that I completely forgot to ask the doc about hypothyroidism.
"They check for that in the bloodwork anyhow," Daisy replied.
"I know, but I'd like them to do an in-depth screen for it and I completely forgot to ask."
I match up with the symptoms above:
- Poor memory and concentration/difficulty thinking/focusing/depression
- Low energy (of course)
- (occasional) muscle weakness
- Muscle and joint pain (nearly constantly)
- (occasional) swollen legs, ankles, or feet
- Poor hearing
- Slow pulse rate
- Coldness in extremities
- Fatigue
- Generally feeling cold
- (occasional) weight gain with poor appetite
- Definite hair loss
- (occasional) constipation
- very dry skin
- ...and, of course, the reproductive problems.
My hearing has always been bad -- it was tested and I had something like 20% hearing loss in my teens, attributed at the time to all of the ear infections I had as a child giving me some permanent loss, but maybe it's more than that.
My legs, ankles, and feet swell a lot.
I have a very low pulse rate a lot of the time -- I average around 75bpm but I've watched the monitor on my Apple Watch tell me I've had rates in the high 40s through low 60s pretty sustained for long chunks of time.
My fingers and toes are almost always cold. And if my body is cold it's really hard sometimes to warm up.
I am indeed losing my hair, almost by the handful, in the shower every day.
I have low energy, muscle fatigue/pain/joint pain almost constantly.
My skin is really dry, worse in winter, but still dry in the other seasons too -- no matter how much I hydrate myself.
Some of this can be attributed to getting old, some of it can be attributed to the testosterone therapy, and some of it can be attributed to stress and depression and the like...but not all of it. Not when I match up with so many of these symptoms.
I've been tested for hypothyroidism before, about ten years ago. At that time I was fine. But I don't know how in-depth any of the testing that's been done on me for it has been. And if anything in my blood work points toward any sort of abnormal thyroid reading, I will be going back for a super-in-depth test for it at my own request.
It also turns out that almost everything I eat is horrible for me if I have hypothyroidism:
- Coffee
- Broccoli and cauliflower
- Fried foods
- Bread and gluten
- Fiber from beans and other legumes
- Anything with soy
- Anything frozen/processed meals
- Butter, meat (well, I don't have to worry about that one) and alcohol (no worries here either)
Fuck me, man. The above is like 80% of my diet. What the fuck could I actually eat? Bananas, apples, and water? I already eat a ton of that and while it helps, it ain't satisfying.
Anyway, so that's what's going on right now. More to come eventually...when I have the energy.